Individual provider · Type 1 NPI

Miranda Sullivan, MS, CCC-SLP

Speech-Language Pathologist · Eagle, ID

NPI number 1124600697 Active

Practice location

449 S Fitness Pl
Eagle, ID 83616-6828

Call (208) 957-6301 Map

Mailing address

2920 W Jefferson St
Boise, ID 83702-4614

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1124600697

Miranda Sullivan, MS, CCC-SLP's National Provider Identifier is 1124600697, issued on Apr 24, 2021. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Eagle, ID. The record was last updated on Apr 24, 2021.